Drenger B

Language: English
References: 7
Page: 262-264
PDF size: 98.37 Kb.

Text Extraction

Aspirin: (Level of evidence: fair)
1. Low-risk coronary patients-stop aspirin a week before surgery
2. High cardiac risk patients-TIA, CVA, coronary stent, coronary disease, cerebrovascular disease, vascular, etc. - aspirin will not be discontinued, regional anesthesia can be performed.
3. If the surgeon or the anesthesiologist do not want to operate in the presence of aspirin - both regional anesthesia and surgery can be performed two days after stopping the drug - when 20% of COX-1 activity in platelets has been recovered.
4. Patients in whom aspirin was not discontinued for any reason - can have surgery and can receive regional anesthesia.

REFERENCES

1. Breivik H, Bang U, Jalonen J, et al. Nordic guidelines for neuraxial blocks in disturbed haemostasis from the Scandinavian Society of Anaesthesiology and Intensive Care Medicine. Acta Anaesthesiol Scand 2010;54:16-41.

2. Samama CM, Albaladejo P, Benhamou D and the Committee for Good Practice Standards of the French Society for Anaesthesiology and Intensive Care (SFAR): Venous thromboembolism prevention in surgery and obstetrics. Eur J Anaesthesiol 2006;23:95-116.

3. Fleisher LA, Beckman JA, Brown KA, et al. ACC/AHA 2007 Guidelines on perioperative cardiovascular evaluation and care for noncardiac surgery. J Am Coll Cardiol 2007;50:1707-32.

4. Hantler C, Despotis GJ, Sinha R, Chelly JE. Guidelines and alternatives for neuraxial anesthesia and venous thromboembolism prophylaxis in major orthopedic surgery. J Arthroplasty 2004;19:1004-16.

5. Rowlingson JC, Hanson PB. Neuraxial anesthesia and low - molecular - weight heparin prophylaxis in major orthopedic surgery in the wake of the Latest American Society of Regional Anesthesia Guidelines. Anesth Analg 2005;100:1482-8.

6. Regional anesthesia in the anticoagulated patient: defining the risks (the second ASRA Consensus Conference on Neuraxial Anesthesia and Anticoagulation).

7. Horlocker TT, Wedel DJ, Benzon H, et al. Regional anesthesia in the anticoagulated patient: Defining the risks (The Second ASRA Consensus Conference on Neuraxial Anesthesia and Anticoagulation). Reg Anesth Pain Med 2003;28:172-97.